/library/oar/handle/123456789/21723 Wed, 17 Jun 2026 07:27:33 GMT 2026-06-17T07:27:33Z /library/oar/handle/123456789/21770 Title: Assessment of the shoulder in rotator cuff tears Abstract: The rotator cuff consists of four muscles; the subscapularis, supraspinatus, infraspinatus, and teres minor. The long head of the biceps tendon is another important component of the complex. The subscapularis is a head depressor, and in certain positions an internal rotator. The infraspinatus and teres minor are external rotators. The conjoint tendon of these muscles, attached to the tuberosities, anatomically and functionally, works as a unit, to maintain dynamic glenohumeral stability centering the humeral head onto the glenoid articulation. The long head of the biceps attaches to the supraglenoid tubercle of the glenoid and has a stabilising and depressing action on the humeral head. The rotator cuff gives 50% of the abductor power and 80% of the external rotator power to the gleno-humeral joint. Sun, 01 Dec 1996 00:00:00 GMT /library/oar/handle/123456789/21770 1996-12-01T00:00:00Z /library/oar/handle/123456789/21737 Title: An outbreak of Salmonella food poisoning in Gozo Abstract: An outbreak of gastroenteritis due to Salmonella berta occurred following a social function (barbeque) affecting 12 out of 16 guests. A birthday cake bought from a catering firm in G020 was the most likely vehicle of infection implicated. Three patients were admitted to hospital with severe diarrhoea and abdominal pain. Sun, 01 Dec 1996 00:00:00 GMT /library/oar/handle/123456789/21737 1996-12-01T00:00:00Z /library/oar/handle/123456789/21736 Title: It-Tabib tal-Familja : issue 11 Editors: Soler, Jean Karl Abstract: 1/ Editorial -- 2/ Peter Muscat - An outbreak of Salmonella food poisoning in Gozo -- 3/ Anthony Mifsud - The Malta General Practice Research Workshop -- 4/ Carmel J. Sciberras - The management of hand problems -- 5/ C. Savona-Ventura - Metabolic adjustments in pregnancy -- 6/ Ray Gatt - Assessment of the shoulder in rotator cuff tears. Sun, 01 Dec 1996 00:00:00 GMT /library/oar/handle/123456789/21736 1996-12-01T00:00:00Z /library/oar/handle/123456789/21733 Title: Metabolic adjustments in pregnancy Abstract: Physiologically, the mother becomes almost a new person during the nine months of pregnancy. Virtually every system undergoes some change. In this respect, the pregnant woman is a natural laboratory in which to observe the effects of pregnancy hormones and nutritional demands of the fetus. Moreover, understanding the maternal adaptations to fetal growth has an important practical aspect in the management of the abnormal pregnancy. The question may be posed whether the fetus acts solely as a parasite draining fuels from the mother or whether the mother adapts to augment the supply of energy fuels to the fetus. The Maltese woman is characterised by a high incidence of abnormal glucose metabolism during pregnancy when compared to other populations. Gestational impaired glucose tolerance, defined by the W.H.O. criteria, has been shown to affect about 14% of pregnant Maltese women • Women with gestational impaired glucose tolerance have been shown to exhibit specific metabolic adaptations during their pregnancy. This study attempts to identify the metabolic · alterations which occur during the last trimester of pregnancy in this high risk population. Sun, 01 Dec 1996 00:00:00 GMT /library/oar/handle/123456789/21733 1996-12-01T00:00:00Z